Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
Identifieur interne : 000497 ( Main/Exploration ); précédent : 000496; suivant : 000498Quality of Malaria Treatment Provided under ‘Better Health Together’ Project in Ethnic Communities of Myanmar: How Are We Performing?
Auteurs : Phyo Wai Minn ; Hemant Deepak Shewade [Inde] ; Nang Thu Thu Kyaw ; Khaing Hnin Phyo ; Nay Yi Yi Linn ; Myat Sandi Min ; Yan Naing Aung ; Zaw Toe Myint ; Aung ThiSource :
- Tropical Medicine and Infectious Disease [ 2414-6366 ] ; 2019.
Abstract
Malaria accounted for 18% of all deaths in the ethnic communities of Myanmar. In this cross-sectional study, we assessed the extent of and factors associated with receipt of quality malaria treatment services provided by integrated community malaria volunteer (ICMV) under six ethnic health organisations. Data of people with malaria diagnosed by rapid diagnostic tests during 2017–2018 were extracted from the ICMV registers. Documentation of prescribing a complete course of drugs was used to assess quality. Of 2881 people with malaria, village-based ICMV diagnosed and treated 2279 (79%) people. Overall, 2726 (95%) people received correct drugs in the correct dose and adequate duration appropriate to malaria species, age and pregnancy status while 1285 (45%) people received ‘correct and timely (within 24 h of fever)’ treatment. Children under five years, those with severe malaria, mixed infection and
Url:
DOI: 10.3390/tropicalmed4040140
PubMed: 31817078
PubMed Central: 6958459
Affiliations:
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Myanmar;<email>january.dr.sandi@gmail.com</email> (M.S.M.);<email>yannaing.aung128@gmail.com</email> (Y.N.A.);<email>zawtoemyint@cpintl.org</email> (Z.T.M.)</nlm:aff></affiliation></author><author><name sortKey="Thi, Aung" sort="Thi, Aung" uniqKey="Thi A" first="Aung" last="Thi">Aung Thi</name><affiliation><nlm:aff id="af6-tropicalmed-04-00140">Vector Borne Disease Control Program, Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw 15011, Myanmar;<email>nayyiyilinn@gmail.com</email> (N.Y.Y.L.);<email>aungthi08@gmail.com</email> (A.T.)</nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">31817078</idno><idno type="pmc">6958459</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6958459</idno><idno type="RBID">PMC:6958459</idno><idno type="doi">10.3390/tropicalmed4040140</idno><date when="2019">2019</date><idno type="wicri:Area/Pmc/Corpus">000836</idno><idno type="wicri:explorRef" 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Minn</name><affiliation><nlm:aff id="af1-tropicalmed-04-00140">Community Partners International, Yangon 11201, Myanmar;<email>january.dr.sandi@gmail.com</email> (M.S.M.);<email>yannaing.aung128@gmail.com</email> (Y.N.A.);<email>zawtoemyint@cpintl.org</email> (Z.T.M.)</nlm:aff></affiliation></author><author><name sortKey="Shewade, Hemant Deepak" sort="Shewade, Hemant Deepak" uniqKey="Shewade H" first="Hemant Deepak" last="Shewade">Hemant Deepak Shewade</name><affiliation><nlm:aff id="af2-tropicalmed-04-00140">International Union against Tuberculosis and Lung Disease (The Union), 75006 Paris, France;<email>hemantjipmer@gmail.com</email></nlm:aff></affiliation><affiliation wicri:level="1"><nlm:aff id="af3-tropicalmed-04-00140">The Union South East Asia Office, New Delhi 110016, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>The Union South East Asia Office, New Delhi 110016</wicri:regionArea><wicri:noRegion>New Delhi 110016</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:aff id="af4-tropicalmed-04-00140">Karuna Trust, Bengaluru 560041, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Karuna Trust, Bengaluru 560041</wicri:regionArea><wicri:noRegion>Bengaluru 560041</wicri:noRegion></affiliation></author><author><name sortKey="Kyaw, Nang Thu Thu" sort="Kyaw, Nang Thu Thu" uniqKey="Kyaw N" first="Nang Thu Thu" last="Kyaw">Nang Thu Thu Kyaw</name><affiliation><nlm:aff id="af5-tropicalmed-04-00140">The Union Myanmar Country Office, Mandalay 05021, Myanmar;<email>nangthu82@gmail.com</email> (N.T.T.K.);<email>khainghninphyo1990@gmail.com</email> (K.H.P.)</nlm:aff></affiliation></author><author><name sortKey="Phyo, Khaing Hnin" sort="Phyo, Khaing Hnin" uniqKey="Phyo K" first="Khaing Hnin" last="Phyo">Khaing Hnin Phyo</name><affiliation><nlm:aff id="af5-tropicalmed-04-00140">The Union Myanmar Country Office, Mandalay 05021, Myanmar;<email>nangthu82@gmail.com</email> (N.T.T.K.);<email>khainghninphyo1990@gmail.com</email> (K.H.P.)</nlm:aff></affiliation></author><author><name sortKey="Linn, Nay Yi Yi" sort="Linn, Nay Yi Yi" uniqKey="Linn N" first="Nay Yi Yi" last="Linn">Nay Yi Yi Linn</name><affiliation><nlm:aff id="af6-tropicalmed-04-00140">Vector Borne Disease Control Program, Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw 15011, Myanmar;<email>nayyiyilinn@gmail.com</email> (N.Y.Y.L.);<email>aungthi08@gmail.com</email> (A.T.)</nlm:aff></affiliation></author><author><name sortKey="Min, Myat Sandi" sort="Min, Myat Sandi" uniqKey="Min M" first="Myat Sandi" last="Min">Myat Sandi Min</name><affiliation><nlm:aff id="af1-tropicalmed-04-00140">Community Partners International, Yangon 11201, Myanmar;<email>january.dr.sandi@gmail.com</email> (M.S.M.);<email>yannaing.aung128@gmail.com</email> (Y.N.A.);<email>zawtoemyint@cpintl.org</email> (Z.T.M.)</nlm:aff></affiliation></author><author><name sortKey="Aung, Yan Naing" sort="Aung, Yan Naing" uniqKey="Aung Y" first="Yan Naing" last="Aung">Yan Naing Aung</name><affiliation><nlm:aff id="af1-tropicalmed-04-00140">Community Partners International, Yangon 11201, Myanmar;<email>january.dr.sandi@gmail.com</email> (M.S.M.);<email>yannaing.aung128@gmail.com</email> (Y.N.A.);<email>zawtoemyint@cpintl.org</email> (Z.T.M.)</nlm:aff></affiliation></author><author><name sortKey="Myint, Zaw Toe" sort="Myint, Zaw Toe" uniqKey="Myint Z" first="Zaw Toe" last="Myint">Zaw Toe Myint</name><affiliation><nlm:aff id="af1-tropicalmed-04-00140">Community Partners International, Yangon 11201, Myanmar;<email>january.dr.sandi@gmail.com</email> (M.S.M.);<email>yannaing.aung128@gmail.com</email> (Y.N.A.);<email>zawtoemyint@cpintl.org</email> (Z.T.M.)</nlm:aff></affiliation></author><author><name sortKey="Thi, Aung" sort="Thi, Aung" uniqKey="Thi A" first="Aung" last="Thi">Aung Thi</name><affiliation><nlm:aff id="af6-tropicalmed-04-00140">Vector Borne Disease Control Program, Department of Public Health, Ministry of Health and Sports, Nay Pyi Taw 15011, Myanmar;<email>nayyiyilinn@gmail.com</email> (N.Y.Y.L.);<email>aungthi08@gmail.com</email> (A.T.)</nlm:aff></affiliation></author></analytic><series><title level="j">Tropical Medicine and Infectious Disease</title><idno type="eISSN">2414-6366</idno><imprint><date when="2019">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Malaria accounted for 18% of all deaths in the ethnic communities of Myanmar. In this cross-sectional study, we assessed the extent of and factors associated with receipt of quality malaria treatment services provided by integrated community malaria volunteer (ICMV) under six ethnic health organisations. Data of people with malaria diagnosed by rapid diagnostic tests during 2017–2018 were extracted from the ICMV registers. Documentation of prescribing a complete course of drugs was used to assess quality. Of 2881 people with malaria, village-based ICMV diagnosed and treated 2279 (79%) people. Overall, 2726 (95%) people received correct drugs in the correct dose and adequate duration appropriate to malaria species, age and pregnancy status while 1285 (45%) people received ‘correct and timely (within 24 h of fever)’ treatment. Children under five years, those with severe malaria, mixed infection and <italic>falciparum</italic> malaria were less likely to receive the correct treatment. When compared to health posts, village-based ICMVs and mobile teams performed better in providing correct treatment and mobile teams in providing ‘correct and timely’ treatment. This calls for ensuring the early presentation of people to health workers within 24 h of undifferentiated fever through health promotion initiatives. Future studies should assess adherence to medication and clinical improvement.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Mu, T T" uniqKey="Mu T">T.T. Mu</name></author><author><name sortKey="Sein, A A" uniqKey="Sein A">A.A. Sein</name></author><author><name sortKey="Kyi, T T" uniqKey="Kyi T">T.T. Kyi</name></author><author><name sortKey="Min, M" uniqKey="Min M">M. Min</name></author><author><name sortKey="Aung, N M" uniqKey="Aung N">N.M. 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